Individual
MICHAL NAKONECZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
COURTHOUSE RD, BLDG A66, CAMP LEJEUNE, NC 28542-0183
(910) 440-7704
Mailing address
2D MARINE RAIDER BATTALION, PSC 20183, CAMP LEJEUNE, NC 28542-0183
(910) 440-7704
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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